| NPI | 1194965673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009568) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2017-03-28 |